Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-08-02-18

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213551
DEA: 080K2934
EFIS: 0812000100
DIST-CO-RTE-PM08-SBD-10-R36.8/R39.2
Award Date11/09/2018
Closeout Date09/15/2021
Work DescriptionPAVEMENT REHABILITATION AND CONTINUOUSLY REINFORCED CONCRETE PAVEMENT
Location DescriptionSAN BERNARDINO COUNTY IN YUCAIPA FROM 0.2 MILE WEST OF LIVE OAK CANYON ROAD TO COUNTY LINE ROAD UNDERCROSSING
QA Service Level1 (Verified on 12/31/2018)

Sample Information

Sample Taken Date08/02/2019 Sample Unique Key18
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing08/02/2019
Sample typePer Request A brief description of the sampleClass 2 Agg Base
The quantity of what the sample constitutes1 bag From where was the sample collectedJob Site
First name of sampler or witnessed byJuan Last name of sampler or witnessed byLe Roy
Title of samplerField Technician Telephone number of sampler
Laboratory sample identification8660 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCaltrans Transportation Laboratory (TL) NumberC003101-2
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)Unknown
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedI-10 Lanes number 1 and 2
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-08-02-18-5CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesHusni AnkirCT - Southern Regional Laboratory08/06/2019Nader Rashidi-Ghader
Yes
09/16/2019
2019-08-02-18-6CTM 217-June 2011: Method of Test for Sand Equivalentkiet PhanCT - Southern Regional Laboratory08/07/2019Nader Rashidi-Ghader
Yes
09/16/2019
2019-08-02-18-7CTM 301-March 2000: Method of Test for Determining the Resistance "R"; Value of Treated and Untreated Bases, Subbases, and Basement Soils by the StabilometerTess Perez / Mike MaganaCT - Southern Regional Laboratory08/09/2019Nader Rashidi-Ghader
Yes
09/16/2019